Individual
NATHAN V MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209009596
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28179329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102414304
ANTHEM PTAN
IN
05
—
201112470
—
IN
Enumeration date
07/20/2012
Last updated
05/07/2025
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